{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T23:08:09Z","timestamp":1777676889902,"version":"3.51.4"},"reference-count":13,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T00:00:00Z","timestamp":1587600000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["HIP International"],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>standardised protocols for the care of geriatric hip fractures demonstrate improved patient outcomes with decreased cost. The purpose of this study is to evaluate outcomes of a standardised hip fracture protocol at an urban safety-net hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>All trauma patients presenting to our urban safety-net hospital are included in a trauma database and inpatient outcomes recorded. A hip fracture protocol was introduced at our institution in 2015, which depended on admission to a monitored setting due to the absence of a geriatric co-management service. The database was queried to identify patients surgically treated for a geriatric hip fracture in the 3 years prior to protocol implementation (2012\u20132014) and patients treated in the 3 years following protocol implementation (2016\u20132018). Demographics, time to surgery, inpatient complications, and length of stay were compared between groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>A total of 633 patients treated operatively for isolated hip fractures were identified, 262 patients in the 2012\u20132014 pre-protocol cohort, and 371 patients in the 2016\u20132018 protocol cohort. Following implementation of a hip fracture protocol the number of patients admitted to a surgical service increased from 198 (76%) to 348 (94%, p &lt; 0.005) with the number of patients being admitted to a monitored setting increasing from 40 (15%) to 83 (22%, p = 0.026). The time to surgery was reduced to 2.75 days ( p = 0.054). The complication rate fell from 23% to 4% ( p &lt; 0.0005). Length of stay was significantly reduced from 13.2 days to 12 days ( p = 0.045).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>A hip fracture protocol including admission to a monitored setting can be effectively implemented at an urban safety-net hospital where geriatric co-management is not available. This resulted in a decrease in complications and length of stay. Additional interventions are required to decrease average time to surgery below 36 hours.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1120700020919332","type":"journal-article","created":{"date-parts":[[2020,4,23]],"date-time":"2020-04-23T06:41:53Z","timestamp":1587624113000},"page":"696-699","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":6,"title":["Improving outcomes after hip fracture at a safety net hospital with a standardised hip fracture protocol"],"prefix":"10.1177","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1533-8114","authenticated-orcid":false,"given":"Anthony V","family":"Christiano","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hannah C","family":"Elsevier","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Salman","family":"Sarker","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Elmhurst Hospital Center, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"George","family":"Agriantonis","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Elmhurst Hospital Center, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Joseph","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA"},{"name":"Department of Orthopaedic Surgery, Elmhurst Hospital Center, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rohit","family":"Hasija","sequence":"additional","affiliation":[{"name":"Department of Orthopaedic Surgery, Elmhurst Hospital Center, Queens, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,4,23]]},"reference":[{"key":"bibr1-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.1462"},{"key":"bibr2-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1016\/8756-3282(95)00381-9"},{"key":"bibr3-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1097\/00005131-199704000-00004"},{"key":"bibr4-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1359\/jbmr.080702"},{"key":"bibr5-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1097\/BOT.0000000000001460"},{"key":"bibr6-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1177\/2151459318808845"},{"key":"bibr7-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-016-0332-0"},{"key":"bibr8-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2008.01770.x"},{"key":"bibr9-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1177\/2151458510382231"},{"key":"bibr10-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.165.7.796"},{"key":"bibr11-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1016\/S1553-7250(06)32003-X"},{"key":"bibr12-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-018-32098-7"},{"key":"bibr13-1120700020919332","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.17606"}],"container-title":["HIP International"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020919332","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1120700020919332","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1120700020919332","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T08:21:41Z","timestamp":1777450901000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1120700020919332"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,4,23]]},"references-count":13,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/1120700020919332"],"URL":"https:\/\/doi.org\/10.1177\/1120700020919332","relation":{},"ISSN":["1120-7000","1724-6067"],"issn-type":[{"value":"1120-7000","type":"print"},{"value":"1724-6067","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,4,23]]}}}